Extra-hepatic portal vein obstruction in children is not associated with growth impairment

Abstract

Purpose – The purpose of this paper is to assess nutritional status among children with extra-hepatic portal vein obstruction (EHPVO). Design/methodology/approach – Forty six children with documented EHPVO with age and sex matched siblings and controls were selected from the Department of Gastroenterology, Sawai Man Singh Hospital, Jaipur. Nutritional assessment was done by anthropometry and dietary recall method (24-h dietary recall method). Height for age and BMI for age were compared with WHO standards. Findings – An equal percentage of EHPVO patients, siblings and controls (4.34 percent) were stunted. Nearly 23.9 percent EHPVO patients and their siblings and 30.4 percent of controls were severely wasted. Similar proportion of subjects had MAMA<5th percentile. Dietary intake was similar between the study groups. Growth velocity was similar among the groups after one-year follow-up. Originality/value – Data from India regarding EHPVO are very scarce from India. One study from Sarin et al. in 1992 reported EHPVO-affected children to be growth retarded. The present study, in contradiction to this study postulates that the affected children may not be growth retarded because of the disease but heredity and environmental factors may play a role.